Individual
DR. RICHARD K DOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3540 WHEELER RD, SUITE 617, AUGUSTA, GA 30909-1871
(706) 731-5831
Mailing address
PO BOX 15324, AUGUSTA, GA 30919-1324
(706) 731-5831
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
030050
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002628
BCBS OF GEORGIA
GA
01
—
10040080
AMERIGROUP
GA
05
—
329184788A
—
GA
01
—
52497628
BCBS
GA
Enumeration date
01/18/2007
Last updated
10/27/2014
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